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Related Experiment Videos

Measuring confrontation during recovery from addiction.

Douglas L Polcin1, Gantt P Galloway, Thomas K Greenfield

  • 1Haight Ashbury Free Clinics Inc., Research, Education and Training, San Francisco, CA 94117, USA. dpolcin@hafci.org

Substance Use & Misuse
|February 10, 2006
PubMed
Summary

Developing a new measure, the Alcohol and Drug Confrontation Subscale (ADCS), helps quantify confrontation in addiction recovery. Findings suggest individuals perceive more confrontation positively, though further research is needed.

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Area of Science:

  • Psychology
  • Addiction Studies
  • Clinical Research

Background:

  • Confrontation's role in addiction recovery is debated, with some programs valuing it and others finding it counterproductive.
  • Existing research lacks a comprehensive measure to assess the multifaceted nature of confrontation in addiction treatment.

Purpose of the Study:

  • To develop and describe the "Alcohol and Drug Confrontation Subscale" (ADCS), a 72-item instrument.
  • To measure the quantity and frequency of confrontation regarding alcohol or drug use problems.
  • To assess perceptions of relationships with confronters and the confrontational statements themselves.

Main Methods:

  • Development of the 72-item Alcohol and Drug Confrontation Subscale (ADCS).
  • Data collected from 108 individuals entering sober living facilities in Northern California (2003-2005).

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  • Analysis of confrontation frequency, source (spouses, family), and respondent perceptions.

    • Main Results:

    • Confrontational statements regarding alcohol/drug problems are common, particularly from spouses/significant others (56%) and family (60%).
    • Individuals receiving more confrontation reported more positive views of their relationships with confronters and the statements.
    • Reliability for perceptions of relationships (alpha = .79) and statements (alpha = .63) was established.

    Conclusions:

    • The ADCS provides a tool to quantify confrontation in addiction recovery.
    • Increased confrontation may correlate with more positive perceptions of the process.
    • Further research is required to validate the ADCS, generalize findings, and examine confrontation over time.